Outcome Measures (Classification Scales) Flashcards
1
Q
Dizziness Handicap Inventory
A
- Measures patients self perceived handicap as a result of vestibular disorder (dizziness, vertigo, unsteadiness)
- 25 questions with three categories (functional, emotional, physical)
- Mild handicap (16-34pts), moderate handicap (36-52pts), and severe handicap (54+pts)
- Excellent reliability
2
Q
Dynamic Gait Index
A
- Evaluates high level gait by examining patients ability to perform variations in walking on command
- Tests ability to perform walking balance while responding to different task demands through various dynamic conditions
- Tests individuals with vestibular, balance, or fall problems
- 8 items (walking on level surface, changing speeds, head turns, walking and turning 180 degrees, stepping over and around obstacles, and stairs)
- Each item scored on 0-3 (normal is 3 and severe impairment is 0)
- BEST possible score on DGI is 24
- Score of </= 19/24 indicates a fall risk
3
Q
Berg Balance Test
A
- Measures static and dynamic balance
- Predicts falls in elderly and evaluates changes in patients (also used with stroke patients)
- Items (sit to stand, standing unsupported, sitting unsupported, stand to sit, transfers, standing with EC, standing with feet together, reach forward with outstretched arm, retrieve object from floor, turning 360 degrees, placing alternate foot on stool, standing with one foot in front, and standing on one foot)
- Score of 56 = functional balance
- Score of <45 = greater risk for falls
- Score of <49 = risk of falls in individuals with stroke
4
Q
SF-36 Health Survey
A
- Generalized questionnaire with health related questions pertaining to health status and general functioning
- Covers domains of health (limits in physical activities, limits in social activities, limits in usual role activities, bodily pain, general mental health, vitality (energy and fatigue), and general health perceptions
5
Q
Barthel Index Overview
A
- Measures patient’s ability to complete ADLs
- Covers bathing, feeding, grooming, dressing, bowel/bladder, toilet use, transfers bed to chair and back, mobility on level surfaces, and stairs
6
Q
Barthel Index Scoring
A
- Higher the score = more independent the patient
- 0-20 = total dependency
- 21-60 = severe dependency
- 61-90 = moderate dependency
- 91-99 = slight dependency
7
Q
Fugl-Meyer Assessment Overview
A
- Assessment for motor recovery after stroke
- Covers motor functioning, balance, sensation, and joint ROM, and joint pain in patients with post-stroke hemiplegia
8
Q
Fugl-Meyer Assessment Scoring
A
- Each item scored 0-2 (0 = cannot perform and 2 = performs fully)
- Total possible score is 226
- <50 = severe
- 56-70 = moderate
- > 79 = mild
- Hemiplegia = more than or equal to 84
- Hemiparesis = 85-95
9
Q
Timed Up and Go Overview
A
- Simple, quick, and widely used test that measures patients mobility, balance, walking, and risk of falls
10
Q
Timed Up and Go Instructions
A
- Patient sits in chair, marker goes on floor 3 meters away, patient stands and walks to marker, turns around, and walks back to chair to sit down
- Start timing when patient says go and stop timing when they sit back in chair
- Patient can use any AD they normally use but cannot be assisted by another person
- Patient can stop and rest if needed, but they cannot sit down
11
Q
Timed Up and Go Scoring
A
- Score of 20 seconds or more indicates poor performance
- Healthy, elderly person can ususally complete test in 10 seconds or less, while someone who is very weak or frail may take two minutes or more
12
Q
Outcome and Information Assessment Set (OASIS)
A
- Collection of standardized data elements that home health agencies use to assess and report on patients
- Measures patient outcomes to improve home health care
- Collected by providers of home care services that are funded by medicare
- PTs must be able to choose the appropriate outcome measure based on the situation to efficiently examine the patient
13
Q
Hohen and Yahr Stage 1
A
- Only one side of the body is affected
- Minimal or no functional disability
14
Q
Hohen and Yahr Stage 2
A
- Symptoms affect both sides of the body
15
Q
Hohen and Yahr Stage 3
A
- Balance and stability now affected
- Mild to moderate disability
- Impaired postural reflexes
- Physically independent
16
Q
Hohen and Yahr Stage 4
A
- Symptoms increase, however, patient can stand and walk
17
Q
Hohen and Yahr Stage 5
A
- Assistance required for everyday activities
- Confined to bed or w/c unless aided
18
Q
Hohen and Yahr Scale
A
- Used for staging of functional disability associated with Parkinsons disease
- Helps in describing the progression of disease through various stages, allowing measurement of the patient’s severity
19
Q
Gross Motor Function Classification System (GMFCS) Purpose
A
- Categorizes children with CP
- Focuses on wheeled mobility, walking, and sitting
20
Q
GMFCS Level I
A
- Able to walk without limitations
21
Q
GMFCS Level II
A
- Able to walk with limitations (balance and endurance limitations)
22
Q
GMFCS Level III
A
- Able to walk using hand-held mobility device (may use additional support such as wheeled mobility for longer distances or outdoors)
23
Q
GMFCS Level IV
A
- Self mobility is limited, may be transported in a manual wheelchair or use power mobility
24
Q
GMFCS Level V
A
- Transported in manual wheelchair
25
Q
Oswestry Disability Index Purpose
A
- Patient completed questionnaire which gives subjective percentage score of level of function (disability) in ADLs for those with LBP
- “gold standard” for LBP
- Examines pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex, social, and travel
26
Q
Oswestry Disability Index Scoring
A
- Each item scored 0-5 (0=least disability and 5=greatest disability)
- 0-20 = minimal disability
- 21-40 = moderate disability
- 41-60 = severe disability
- 61-80 = crippled
- 81-100 = bed-bound (or patient is exaggerating their symptoms)
27
Q
Functional Reach Test Overview
A
- Made to predict fall risk in elderly and frail adult
- Patient standing, arm at 90 degrees of shoulder flexion with closed fist, record starting position at 3rd metacarpal head, patient reaches as far as possible without moving from ground, location of 3rd metacarpal recorded again
- Score determined by assessing difference between start and end position measured in inches
- Three trials are done and average of the last two are noted
- Test is stopped if patients feet lift up from floor, they fall forward, and PT should guard patient from front in case they fall forward
28
Q
Tinneti Purpose
A
- Assesses pts perception of balance and stability during ADLs and fear of falling
- Very good indicator of fall risk
- Comprises of two sections (one contains sitting in chair then standing while the second contains gait)
- Good validity (better than TUG and functional reach)
29
Q
TInneti Procedure
A
- Requires a hard armless chair, stopwatch, and 15 feet even walkway
- Pt sits in chair, asked to rise up and stay standing, pt will turn 360 degrees and then sit back down
- Pt will walk a few meters at normal speed, followed by turning and walking back at a “fast but safe” speed, then pt will sit back down
- Pt can use any AD they would normally use
30
Q
Tinneti Interpretation
A
- High risk = </= 18
- Moderate risk = 19-23
- Low risk = >/= 24
31
Q
Glasgow Coma Scale Overview
A
- Gold standard used to document level of consciousness in acute brain injury
- Eye opening, motor response, and verbal response examined
- Total score ranges from 3-15
- Score of 8 or less = severe brain injury and coma
- Score 9-12 = moderate brain injury
- Score 13-15 = mild brain injury
32
Q
Glasgow Coma Scale Test
A
- Eye response = eyes open spontaneously (4), eye opening to verbals (3), eye opening to pain (2), no eye opening (1)
- Verbal Response = oriented (5), confused (4), inappropriate (3), incomprehensible (2), no verbal response (1)
- Motor Response = obeys command (6), localizes pain (5), withdraws from pain (4), flexion response to pain (3), extension response to pain (2), no motor response (1)
33
Q
BOT2
A
- Assess motor skills, stability, mobility, strength, coordination, and object manipulation
- Focuses on motor skills including strength and agility
- Age = 4-21 years old
34
Q
PDMS / Peabody
A
- Measures motor skills, identifies motor deficits, and determines eligibility for disability services in young children
- Focuses on gross and fine motor skills, reflexes, and visual-motor integration
- Age = birth - 5 years old
